SNF

BRYN MAWR EXTENDED CARE CENTER

CCN: 395311 · BRYN MAWR, PA 19010 · Delaware County

Overview

Address
956 RAILROAD AVENUE, BRYN MAWR, PA 19010
Phone
6105258412
Certified beds
160
Avg daily residents
149 (93% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1974-05-28
Setting
Urban
1 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 3/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 3/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures ★★★★★ 1/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.31 3.63 3.52 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.35 0.63 0.37 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.12 0.81 1.19 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 1.84 2.19 1.96 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.47 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.06 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.89
hrs / resident / day
RN (weekend)
0.22
hrs / resident / day
Total nurse (adjusted, weekend)
3.07
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
45.6%
annual
RN turnover
41.7%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.29
higher acuity than avg
Case-Mix Index Ratio
0.93
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-04-10 14 12 2 60 2 90
Cycle 2/3 (prior) 2024-11-01 27 10 20 323 1 323
Total weighted health score
148.3
lower is better

Deficiencies (54)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

51 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
2 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-10-03 2025-12-11
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-04-10 2025-05-07
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2025-04-10 2025-05-07
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-04-10 2025-05-07
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-04-10 2025-05-07
0679 Provide activities to meet all resident's needs. E 2025-04-10 2025-05-07
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-04-10 2025-05-07
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-04-10 2025-05-07
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2025-04-10 2025-05-07
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2025-04-10 2025-05-07
0809 Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. D 2025-04-10 2025-05-07
0840 Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. D 2025-04-10 2025-05-07
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-04-10 2025-05-07
0880 Provide and implement an infection prevention and control program. D 2025-04-10 2025-05-07
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-11-01 2024-12-09
0583 Keep residents' personal and medical records private and confidential. E 2024-11-01 2024-12-09
0641 Ensure each resident receives an accurate assessment. D 2024-11-01 2024-12-09
0770 Provide timely, quality laboratory services/tests to meet the needs of residents. D 2024-11-01 2024-12-09
0773 Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. D 2024-11-01 2024-12-09
0919 Make sure that a working call system is available in each resident's bathroom and bathing area. D 2024-11-01 2024-12-09
0947 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. D 2024-11-01 2024-12-09
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-11-01 2024-12-09
0697 Provide safe, appropriate pain management for a resident who requires such services. G 2024-11-01 2024-12-09
0803 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. E 2024-11-01 2024-12-09
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. D 2024-08-22 2024-09-17
0678 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. J 2024-02-29 2024-03-11
0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. D 2024-02-29 2024-03-11
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2024-02-01 2024-03-11
0558 Reasonably accommodate the needs and preferences of each resident. D 2024-02-01 2024-03-11
0577 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. D 2024-02-01 2024-03-11
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-02-01 2024-03-11
0726 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. E 2024-02-01 2024-03-11
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2024-02-01 2024-03-11
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. D 2024-02-01 2024-03-11
0802 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. D 2024-02-01 2024-03-11
0880 Provide and implement an infection prevention and control program. E 2024-02-01 2024-03-11
0908 Keep all essential equipment working safely. D 2024-02-01 2024-03-11
0922 Have enough backup water supply for essential areas of the nursing home. F 2024-02-01 2024-03-11
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. E 2024-02-01 2024-03-11
0947 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. E 2024-02-01 2024-03-11
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. D 2024-02-01 2024-03-11
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-02-01 2024-03-11
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. D 2024-02-01 2024-03-11
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-02-01 2024-03-11
0759 Ensure medication error rates are not 5 percent or greater. D 2024-02-01 2024-03-11
0803 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. E 2024-02-01 2024-03-11
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2024-02-01 2024-03-11
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. K 2024-02-01 2024-03-11
0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. F 2024-02-01 2024-03-11
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-02-01 2024-03-11

Showing 50 most recent of 54. See the All Data CSV for the full list.

Penalties (2)

Fines issued
2
last 3 years
Total fines
$42,412
Date Type Fine amount
2024-11-01 Fine $18,535
2024-02-01 Fine $23,877

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 3.8% Medicaid 84.4% Other 11.8%

Operating performance

Operating Margin
-12.9%
Total Margin
-12.8%
Occupancy Rate
80.4%
Cost per Resident Day
$23

Revenue & costs

Net Patient Revenue
$14.4M
Total Costs
$1.1M
Net Income
-$1.8M

Balance sheet

Total Assets
$1.7M
Total Liabilities
$1.7M
Fund Balance
-$7K
Current Ratio
1.16

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: SABER HEALTHCARE GROUP

Chain ID
461
Facilities in chain
126
Legal business name
BRYN MAWR HEALTHCARE GROUP, LLC
Chain-average star ratings (for peer context)
Overall
3.0
Health
2.7
Staffing
2.5
QM
4.0

Owner / manager organizations (10)

Organization Role Association
SABER PA HOLDINGS, LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 12/31/2023
BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020) 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/01/2023
BNV DYNASTY LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/01/2023
DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/01/2023
SABER HEALTHCARE HOLDINGS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/31/2023
WIW DYNASTY LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/01/2023
BNV DYNASTY LLC GENERAL PARTNERSHIP INTEREST since 01/01/2023
WIW DYNASTY LLC GENERAL PARTNERSHIP INTEREST since 01/01/2023
SABER GOVERNANCE LLC OPERATIONAL/MANAGERIAL CONTROL since 09/01/2019
BHG AVIV LLC 5% OR GREATER SECURITY INTEREST since 03/01/2016

Owner / manager individuals (7)

Name Role Association
CARROLL, MICHELLE OPERATIONAL/MANAGERIAL CONTROL since 08/25/2024
TALIAFERRO, MICHELLE OPERATIONAL/MANAGERIAL CONTROL since 04/11/2024
VOLPE, BENJAMIN CORPORATE DIRECTOR since 03/01/2019
WEISBERG, WILLIAM CORPORATE DIRECTOR since 03/01/2019
NICOLUZAKIS, GREGORY CORPORATE OFFICER since 03/01/2019
VOLPE, BENJAMIN CORPORATE OFFICER since 03/01/2019
WEISBERG, WILLIAM CORPORATE OFFICER since 03/01/2019

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Both
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $23 metrics.cost_per_resident_day
Cost Report Current Ratio 1.16 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 84.4% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 3.8% metrics.medicare_day_share
Cost Report Net Income ($) $-1,846,963 metrics.net_income
Cost Report Net Patient Revenue ($) $14,434,268 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 80.4% metrics.occupancy_rate
Cost Report Operating Margin (%) -12.9% metrics.operating_margin
Cost Report Total Assets ($) $1,722,923 metrics.total_assets
Cost Report Total Costs ($) $1,081,765 metrics.total_costs
Cost Report Total Fund Balances ($) $-6,966 metrics.fund_balance
Cost Report Total Liabilities ($) $1,729,889 metrics.total_liabilities
Cost Report Total Margin (%) -12.8% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.19114 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.95655 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.37413 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.52182 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.07481 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 148.7 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.80519 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.18832 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.63466 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.62817 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.19785 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.7 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.0 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.0 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.5 Chain Average Staffing Rating
Provider Information Chain ID 461 Chain ID
Provider Information Chain Name SABER HEALTHCARE GROUP Chain Name
Provider Information City/Town BRYN MAWR City/Town
Provider Information CMS Certification Number (CCN) 395311 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Delaware County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1974-05-28 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 40.016 Latitude
Provider Information Legal Business Name BRYN MAWR HEALTHCARE GROUP, LLC Legal Business Name
Provider Information Location 956 RAILROAD AVENUE,BRYN MAWR,PA,19010 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -75.318 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 160 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 126 Number of Facilities in Chain
Provider Information Number of Fines 2 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.28530 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.93296 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 956 RAILROAD AVENUE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name BRYN MAWR EXTENDED CARE CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 290 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 3 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 60 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 30 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 2 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 2 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 12 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-04-10 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 90 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 14 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 10 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-11-01 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 323 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 20 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 323 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 27 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.21865 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 41.7 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.47091 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.11933 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.83860 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.06254 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.35157 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.30950 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 1 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 3 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State PA State
Provider Information Telephone Number 6105258412 Telephone Number
Provider Information Total Amount of Fines in Dollars 42412.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.88944 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 45.6 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 148.250 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Both With a Resident and Family Council
Provider Information ZIP Code 19010 ZIP Code